| La Vid Corporation | |
|
8273 White Oak Ave Ste B Rancho Cucamonga CA 91730-7671 | |
| (909) 631-5768 | |
| Not Available |
| Full Name | La Vid Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8273 White Oak Ave Ste B, Rancho Cucamonga, California |
| Authorized Official Name and Position | Arlyn Mendoza (PRESIDENT) |
| Authorized Official Contact | 9096315768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Vid Corporation 523 W Elm St Ontario CA 91762-5712 Ph: () - | La Vid Corporation 8273 White Oak Ave Ste B Rancho Cucamonga CA 91730-7671 Ph: (909) 631-5768 |
| NPI Number | 1740852763 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740852763 | NPI | - | NPPES |
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